House-Brackman Scale facial nerve palsy The House-Brackmann scale ranges between I normal and VI no movement. Grade I Normal symmetrical function. The House–Brackmann score is a score to grade the degree of nerve damage in a facial nerve A modification of the original House–Brackmann score, called the “Facial Nerve Grading Scale ” (FNGS) was proposed in scale and, four appraisers felt that training is important for the House necessário treinamento prévio; na escala de House & Brackmann.

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A comparison of facial nerve grading systems.

We found that the rate of complete recovery was lower on the FNGS 2. Current issue Free content Submit an article.

House–Brackmann score – Wikipedia

When refering to evidence in academic writing, you should always try to reference bbrackmann primary original source. Grading facial nerve function: However, the sclae of this study was to compare the two grading systems in patients with unilateral Bell palsy. This system is sensitive in assessing changes in facial recovery [ 2 ] and has been reported highly reliable, with intra- and inter-rater reliability similar for beginners and experts [ 9 ].

Future studies are needed to evaluate these grading systems in patients whose paralysis was due to other causes. Since the main objective of this study was to assess the difference between the two facial nerve grading systems, the follow-up period itself was not a huge limitation. Regional assessment, rather than HB grading, yields stricter evaluation, resulting in better prognosis and determination of grade. Patients were excluded if they 1 presented with Bell palsy more than 1 week after onset; 2 were suspected of having Varicella zoster virus infection, based on physical and serologic examinations; 3 had a history of trauma or otologic surgery; 4 had other types of neurologic deficits; 5 had recurrent facial palsy; or 6 had a psychiatric disease.


The H-B grading system has marked limitations: This system, which can overcome the shortcomings of the existing system may be a good tool for the more accurate evaluation of patients.

The efficacy of acupuncture therapy for treatment of patients with facial paralysis. All patients were hospitalized for 7 days and followed-up as outpatients at 3 weeks, 6 weeks, and 3 months.

This study was approved by the Ethical Committee of Kyung Hee University Hospital, and all patients provided written informed consent. Grade IV Obvious disfiguring weakness Inability to lift brow Incomplete eye closure and asymmetry of mouth with maximal effort Severe synkinesis, mass movement, spasm. Thus, this scale cannot be used for systematic regional assessment and is limited in determining prognosis.

Facial Nerve Grading System 2. No potential scalw of interest relevant to this article was reported. There is no specific evaluation of synkinesis aberrant linking of movements which is a sequelae of moderate to severe facial nerve damage.

Facial paralysis Histopathologic Grade Bell Palsy. The regional assessment capacity of the FNGS 2.

House Brackman Scale – ANZ Journal of Surgery

Chi squared analysis was used to determine any difference between the two scales in judging recovery. This system evaluates movements of 10 facial muscles, assigning each a score of points, resulting in a maximum score of 40 points. The Sunnybrook system grades paralysis by evaluating symmetry at rest and during voluntary movements, and, following a series of calculations, is used to gauge synkinesis on a point scale.

Development of a sensitive clinical facial grading system. Reliability of the Sunnybrook Facial Grading System by novice users.

For objectivity, measurements should be made on both bracomann normal and the affected side. But its main limitation for physiotherapists is that it is not sensitive enough to detect the small changes that occur during a course of rehabilitation.

House-Brackman Scale (facial nerve palsy)

The scale hojse used to determine the severity of facial nerve dysfunction in people with facial palsy. Among them, one patient scored 2 points in the brow region, and the other four scored 2 points in the oral region in FNGS 2. When we compared the results of regional assessment with the final grade, it differed from results observed using existing “regional” HB grading [ 5 ]. Reliability of the “Sydney”, “Sunnybrook”, and “House Brackmann” facial grading systems to assess voluntary movement and synkinesis after facial nerve paralysis.


House–Brackmann Scale

If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. Further, the single grade did not always correlate with the best or worst function along the four facial regions. Our previous studies found that observing the electrical response of specific facial muscles provided reasonable correlation with the prognosis of electroacupuncture treatment.

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Prospective study of 38 patients with facial palsy who demonstrated differential facial function. However, it has been difficult for this system to replace HB grading. We therefore analyzed the rate of agreement of the two scales and confirmed the properties and usefulness of FNGS 2. For both the eyebrow and oral commisure movement, 1 point is assigned for every 0.

All statistical analyses were performed using SPSS ver.

Physiopedia is not a substitute housw professional advice or expert medical services from a qualified healthcare provider. The maximum score obtainable is 8, if both structures move the full 1cm. We found that 43 patients Retrieved from ” https: Application of surface EMG test in the prognostic evaluation of peripheral facial paralysis. Topics Discussed in This Paper.